| The Luminescent Mind, Llc | |
|
7901 4th St N Ste 4000 St Petersburg FL 33702-4305 | |
| (786) 266-0108 | |
| Not Available |
| Full Name | The Luminescent Mind, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7901 4th St N Ste 4000, St Petersburg, Florida |
| Authorized Official Name and Position | Katheryne Puentes (CEO/FOUNDER/LMHC/LMFT) |
| Authorized Official Contact | 7862660108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Luminescent Mind, Llc 7901 4th St N Ste 4000 St Petersburg FL 33702-4305 Ph: (786) 266-0108 | The Luminescent Mind, Llc 7901 4th St N Ste 4000 St Petersburg FL 33702-4305 Ph: (786) 266-0108 |
| NPI Number | 1023704947 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023704947 | NPI | - | NPPES |
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